Legislative Alerts - Act Now

APTA Regulatory Action Alert!  Submit Comments Today!

Below are proposed federal regulations and guidance that may have an impact on you and your practice setting.  APTA staff are reviewing them and will be submitting comments. We encourage you to submit individual comments, as well, in response to these proposed regulations and requests for information. Should you do so, please follow the submission instructions provided within each proposal and use APTA’s regulatory advocacy template letter as a guide.

1. Flawed and overly complex use of modifiers which decreases payment for PTA and COTA
2. Estimated 8% reduction in reimbursement by 2021
  • CMS 2020 Physician Fee Schedule Proposed Rule: The Centers for Medicare and Medicaid Services (CMS) issued its proposed rule on the physician fee schedule and Quality Payment Program (QPP) for 2020. It outlines rules for applying modifiers when a PTA furnishes outpatient therapy services at least in part; sets reimbursement values for the new trigger point injection dry needling codes; and seeks feedback on opportunities to expand the concept of bundling to recognize efficiencies among services paid under the fee schedule. CMS also proposes revisions to QPP's MIPS program, including changes to the PT/OT measure set for 2020 and a new, simpler MIPS Value Pathways (MVPs) option starting in 2021 that would align activities across the 4 MIPS categories by specialties or conditions. APTA will provide comments, and clinicians and patients may submit comments independently using the APTA template letters developed specifically for the proposed rule (links below). 
    Deadline for Comments: Friday, September 27, 2019 **Please submit comments EARLY, i.e., before Labor Day, in order to afford the agency adequate time to review the comments and make revisions to the policy. 
    Take Action: Submit comments | 
    Template letter for clinicians: Proposed medicare $ cut (.docx) | 
    Template letter for clinicians: PTA modifier policy (.docx) | 
    Patient Access to therapy services template letter: Access to therapy services (.docx
Your comments are important and influence the regulatory process.  Make your impact today and visit APTA's Regulatory: Take Action webpage to review the available comment opportunities.